Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Shane Evans, CPO

Individual provider Prosthetist · NPI 1245476597

Matthew Shane Evans, CPO is a Prosthetist in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
4

Practice location Address checks out

1705 Coffee Rd Ste 1
Modesto, CA 95355-2809
Phone: (209) 544-2273
Fax: (209) 544-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CPO02042 (CA)
Orthotist Taxonomy 222Z00000X · Licence CPO02042 (CA)
Pedorthist Taxonomy 224L00000X · Licence CPO02042 (CA)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence CPO02042 (CA)

Record details

NPI number1245476597
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorYes
NPI enumeratedDecember 16, 2008
Last updated in NPPESMay 22, 2014

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